National Provider Identifier Database

RAFFI TACHDJIAN MD A MEDICAL CORPORATION
Allergy

A physician who specializes in the diagnosis, treatment, and management of allergies.


Contact Information

RAFFI TACHDJIAN, MD A MEDICAL CORPORATION
1301 20TH ST STE 380
SANTA MONICA, CA90404
Phone: 310-998-0060
Fax: 310-998-0063
Website:
Specialty Taxonomy Code
* Allergy 207KA0200X

* Indicates primary specialty

NPI Profile & details for RAFFI TACHDJIAN, MD A MEDICAL CORPORATION

NPI Number 1346647120
Legal business name
LBN
RAFFI TACHDJIAN, MD A MEDICAL CORPORATION
Authorized official RAFFI TACHDJIAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/22/2014
Last updated 03/30/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A88034

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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